The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
Hematologist-Oncologist Senior Medical Director of Utilization Management needed to join a practice in Tucson, AZ. This position is with a group that is committed to providing quality services in ...
Hematologist-Oncologist Senior Medical Director of Utilization Management needed to join a practice in Tucson, AZ. This position is with a group that is committed to providing quality services in ...
Yoeme Managed Care Utilization Manager
Tucson, AZ · On-site
$66K/yr
Act as an advocate for patients; performs liaison and case management activities between patients ... years of Utilization Review (UR) experience; with a minimum of two (2) years of supervisory ...
Yoeme Managed Care Utilization Manager
Tucson, AZ · On-site
$66K/yr
Act as an advocate for patients; performs liaison and case management activities between patients ... years of Utilization Review (UR) experience; with a minimum of two (2) years of supervisory ...
... Care Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize ... Resource and Patient Management System (RPMS) or similar patient information tracking system;
... Care Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize ... Resource and Patient Management System (RPMS) or similar patient information tracking system;
Payer Utilization Management & Business Integration, Manager
Phoenix, AZ · On-site
$99K - $232K/yr
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Payer Utilization Management & Business Integration, Manager
Phoenix, AZ · On-site
$99K - $232K/yr
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Serve as the primary compliance liaison for Care Management and Utilization Management operations, providing strategic guidance and oversight to ensure adherence to applicable regulatory and ...
Serve as the primary compliance liaison for Care Management and Utilization Management operations, providing strategic guidance and oversight to ensure adherence to applicable regulatory and ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] -
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Quick apply
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] -
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
RN Care Management Coordinator Pool
Phoenix, AZ · On-site
$49/hr
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
RN Care Management Coordinator Pool
Phoenix, AZ · On-site
$49/hr
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Utilization Management information
See Arizona salary details
$36.3K - $46.8K
15% of jobs
$46.8K - $57.4K
8% of jobs
$58.9K is the 25th percentile. Wages below this are outliers.
$57.4K - $67.9K
15% of jobs
The median wage is $74.5K / yr.
$67.9K - $78.4K
20% of jobs
$78.4K - $88.9K
11% of jobs
$94.1K is the 75th percentile. Wages above this are outliers.
$88.9K - $99.4K
13% of jobs
$99.4K - $109.9K
5% of jobs
$109.9K - $120.4K
3% of jobs
$120.4K - $130.9K
4% of jobs
$130.9K - $141.4K
3% of jobs
$141.4K - $151.9K
3% of jobs
$36.3K
$83.4K
$151.9K
How much do utilization management jobs pay per year?
What jobs pay 4000 a week without a degree?
What jobs pay $2000 a day?
What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?
To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.
What is a Utilization Management job?
A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.
What is the least stressful healthcare job?
What does utilization management do?
What are the typical daily responsibilities of a Utilization Management professional?
As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.
- Flexible Cvs Utilization Management Nurse
- Work From Home Nurse Case Management
- Registered Nurse Utilization Review
- Remote Utilization Management Nurse
- Part Time Utilization Review Nurse
- No Experience Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Utilization Management Coordinator
- Independent Contractor Remote Utilization Management Nurse
- Per Diem Utilization Review Nurse

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 26 days ago
Universal Health Services rating
6.7
Based on 249 frontline employees who took The Breakroom Quiz
528th of 872 rated healthcare providers
Job description
Utilization Review Coordinator
Full Time
Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and now offer a full continuum of inpatient and outpatient services. Our modern 120-bed facility offers specialized mental health services and substance use treatment for teens, adults, and older adults experiencing issues such as depression, anxiety, personality disorders and co-occurring addictions.
Full-time Employee Benefits include:
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- Life Insurance
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries!
- Tuition Assistance after 90 days of employment!
- Student Loan Forgiveness through AZ BHLRP
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
Visit Via Linda virtually and much more online at: Via Linda Behavioral Health
Position Description: The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Via Linda Behavioral Hospital services. Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews and discharge planning. Assists in the promotion and maintenance of high-quality patient care through the review and evaluation of clinical practices.
This is an in-office position.
Qualifications
Education and Experience:
- Bachelor's Degree in Social Services, Human Development, Nursing, or related field required. Master's degree preferred.
- Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure preferred.
- 3+ years' experience in a behavioral health or medical inpatient facility serving patients, and special knowledge of the UM department.
- Must have or be able to obtain a Level 1 Fingerprint Clearance Card.
About Universal Health Services
One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skill-set and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
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About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US